Doctor Name: | AVANI PATEL |
NPI Number: | 1023401239 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNIM |
License Number: | |
Business Practice Address: | 1300 Park West Blvd. Madison At Park West Apt 107 Mount Pleasant, SC - 29466 |
Business Phone Number: | 7343955882 |
Business Fax Number: | 7349948457 |
Mailing Address: | 1300 Park West Blvd., Madison At Park West Apt 107 MOUNT PLEASANT |
State: | SC |
Postal Code: | 29466 |
Phone Number: | 7343955882 |
Fax Number: | 7349948457 |
NPI Enumeration Date: | 03/12/2015 |
NPI Last Update Date: | 03/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |